Consider a case: a 38 year-old male presents to the ED after intentional ingesion of multiple objects, which include razor blades, a fork and other sharp objects. Vital signs are stable, he has no abdominal tenderness, and an x-ray reveals several foreign bodies in the stomach that appear consistent with sharp objects, with no free air under the diaphragm. How do you approach this scenario and other similar cases?Read more
Submitted by Julia Moon, MD
A full discusison of pediatric burns would involve management of ABCs, calculation of body surface area burned and the intricacies of different calculations, fluid management, pain control, and finally disposition. For this, read a full chapter and several articles on burn management and resuscitation - here we have a quick rundown of what patients require transfer to burn center and/or admission vs which might be able to be discharged home.Read more
Submitted by Roger Rothenberg, MD
A 31 yo male presents after assault. Walking into the room, you immediately notice marked edema around his left eye. He also seems restless and agitated and is pulling away from staff attempting to obtain vital signs and obtain IV access. Read on for pearls regarding this patient's vision threatening injury!Read more
Submitted by Abagayle Renko M.D.